Get Help as an Armed Forces Member at Icarus in NM
Our armed forces work hard and sacrifice much to protect our freedom here in America. Unfortunately, these sacrifices often lead to difficulty transitioning back into the civilian world. More than 10 percent of military veterans have been diagnosed with substance use disorder. If this describes you, then you need to know the ins and outs of TRICARE New Mexico drug rehab coverage.
Icarus Behavioral Health is here to help you walk the first steps on the path to long-term sobriety. Our addiction treatment programs will help you to face a drug and alcohol use issue. We can help you navigate the complex realm of insurance coverage when it comes to mental health services.
Keep reading to learn more, and please call our insurance verification department directly today to find out what TRICARE will cover at Icarus in New Mexico at any time!
What Addiction Treatment is Covered by TRICARE Insurance?
Addiction treatment and mental health care are both covered under the TRICARE health insurance umbrella. If you know that you have a problem with drug and alcohol use, then you may need to seek treatment at a qualified center.
Please note that if you are looking for federal employees’ health benefits, you may want to visit our resources on GEHA rehab coverage, as TRICARE is typically for members of the Armed Forces and their immediate families.
The question is: What will your health insurance cover when it comes to substance abuse treatment?
Here is what you need to know about your TRICARE policy from the Defense Health Agency.
Mental Health Emergencies
Sometimes, you may need to seek help as soon as possible without any time to spare. If you believe that you are experiencing a true emergency, you do not need to seek any type of prior authorization. Instead, you can go directly to the emergency room (or be transported there by ambulance).
A mental health emergency means that you might harm yourself or others. If you need to be monitored and observed by a professional based on their evaluation, then you meet the criteria for a mental health emergency which will be covered by your TRICARE insurance.
Keep in mind that you do have to follow a couple of rules though. A regional contractor must be notified within 24 hours of being admitted and admissions should be reported within 72 hours. You do not want to delay notifying your health insurance plan if you want your services to be covered.
Emergency Inpatient Hospital Services Covered
Many people who enter into addiction treatment do so without extensive planning. They might finally reach a point where they realize they need help, and they need it right away. If you are struggling with mental health or substance abuse disorders, the good news is that TRICARE insurance benefits will cover the cost of emergency services.
They cover the cost of immediate medical or psychiatric services. Once you have been stabilized in the hospital, you can segue into a more long-term treatment program. Part of their addiction treatment options include detoxification services and stabilization, as well as any medical complications arising from drug use.
In whatever form possible, preferably with the most support you can effectively obtain, the Substance Abuse and Mental Health Services Administration (SAMHSA) advises those struggling with addiction to maintain treatment for at least 90 to 120 days, whether in residential treatment or outpatient rehab, or a combination of both.
Detoxification to Start Sobriety
Once you are ready to face life without drug and alcohol use, you may need some support to get to that point. Detoxing can be a dangerous process to try on your own at home. This is why TRICARE often covers the professional setting of inpatient rehab for this process. Not only will you have access to around-the-clock counseling support, but you also have access to medication-assisted treatment.
At Icarus Behavioral Health, we ensure that you are as comfortable as possible. We can administer medications that will lessen your symptoms of detox so that you can rest easy for a few days before tackling the behemoth of your substance abuse with inpatient services.
TRICARE does cover medication-assisted treatment for drug and alcohol detoxification, as well as ongoing medication based on your individual needs.
Limited Inpatient Rehab
Does TRICARE cover inpatient rehab? This is often the first step toward healing your mental health and promoting sobriety long-term. After you go through detoxification as part of your emergency inpatient hospital services, inpatient is the next logical step.
TRICARE insurance does indeed cover inpatient, though it may not cover them for as long as other insurance plans.
Sometimes, they will only cover a few weeks of this treatment before stepping you down into a lower level of substance abuse treatment such as partial hospitalization programs or intensive outpatient programs. In order to have these services covered, you will usually need pre-authorization.
Icarus Behavioral Health can guide you through this process so that it does not feel as overwhelming or intense. We want you to be able to get the services you need when you need them, and we can help you follow the guidelines for TRICARE coverage of both inpatient and outpatient treatment.
Partial Hospitalization Programs and Intensive Outpatient Programs
As you graduate from an inpatient treatment program, your health insurance does not just cut you off from receiving ongoing treatment. You can continue to bolster your mental health by moving into a partial hospitalization program where you spend the day in a hospital setting and return to your own home at night.
Once you can function with a little bit of extra support that does not require you to be hospitalized, it is time to consider this treatment option. It is a nice in-between service that bridges the intensity of inpatient with some of the freedoms of an outpatient program to give you much-needed support for your sobriety.
When outpatient treatment simply will not be enough to support you in your sobriety, partial hospitalization is available under TRICARE health insurance coverage without pre-authorization.
Intensive Outpatient Treatment
If you are stepping down from an inpatient substance abuse treatment or a partial hospitalization, you may want to try an intensive outpatient program (IOP). These are great if you are partially stabilized but worried about continued sobriety and functioning.
You can get a solid handle on your drug and alcohol issues in New Mexico with Icarus Behavioral Health. We support you at every step of the process from inpatient treatment to intensive outpatient programs. Contact us today to learn more about what your TRICARE will cover and how much it will cost you to get the help you need.
Outpatient Treatment Options Under TRICARE Insurance
Many military members and their families wonder: “Does TRICARE cover outpatient rehab?” The answer depends on the particulars of your policy.
Depending on your plan, TRICARE insurance may also cover your outpatient treatment. This can include appointments with therapists or counselors trained in substance use disorder. While many of these services are indeed covered by TRICARE, they may not be as straightforward to receive services.
Instead, you may need to seek authorization first if you decide to go outside of a military hospital or clinic. Despite the extra effort, many people prefer to receive treatment from a center that specializes in their issues rather than through a VA hospital or clinic. Consider the advantages of both when planning where to go for treatment.
It can feel overwhelming to get the paperwork in place for you to receive help. Icarus Behavioral Health is used to this process and can guide you through it seamlessly. We want you to get the help you need for a substance abuse issue and are committed to seeing you through these struggles.
Do You Need a Referral for TRICARE New Mexico Drug Rehab Coverage?
Fortunately, one of the benefits of TRICARE is that you may not need a referral for your mental health care services. Those who have any of the following types of TRICARE insurance do not need referrals for mental health care services (with some exceptions):
- TRICARE Select or Select Overseas
- TRICARE Reserve Select
- TRICARE Retired Reserve
- TRICARE Young Adult Select
- TRICARE for Life
One of the most notable exceptions for receiving mental health services is that you may need a referral for outpatient services when you have a substance use disorder. If you will be receiving treatment at a substance use disorder rehabilitation facility, you will need to obtain a referral to make good use of these health benefits.
If you are looking for inpatient services, you do not need a referral for emergency situations. Simply head to your local emergency room or treatment center that offers the medical services necessary to see you through an emergency with your mental health or substance use.
One thing to keep in mind is that active duty service members should try to get their mental health care services at a military health system, if possible. When this is not available, service members and their families can start to look for mental health services outside of the umbrella of the government such as those offered by Icarus Behavioral Health.
What is the Cost of Treatment Centers Using TRICARE?
TRICARE coverage tends to be fairly generous when it comes to mental health services. Whether you want an inpatient program or outpatient counseling, all you have to do is follow the steps to get a referral or pre-authorization when required. Keep in mind that the cost for each individual rehab center will vary based on the contracts in place with TRICARE.
Just because a fellow service member or veteran paid a certain amount for treatment does not necessarily mean that you will pay the same. Their treatment plan is individualized, and yours will be too. Get the help that you need to cope with your withdrawal symptoms and learn new skills.
That starts with getting a personalized quote. An upfront quote for what treatment will cost you helps you to prepare for the financial aspects of your recovery. Icarus Behavioral Health can verify your insurance and give you a more realistic idea of what you can expect to pay for your alcohol rehab or drug rehab under the TRICARE umbrella.
Get Help Using TRICARE at Icarus in New Mexico Now
No matter what type of TRICARE insurance plan you have, there are options available for your treatment at Icarus Behavioral Health. We offer emergency services and detox supervision so that you can start fresh on a sober lifestyle while remaining as comfortable as possible. You can transition to inpatient, partial hospitalization programs, or outpatient rehab.
If you are ready to see what TRICARE will cover, call our insurance verification department today. Our warm and welcoming team is ready and waiting to work with your insurance provider so that you can get the help you need.
Call us today to get a quick and confidential quote for mental health or substance abuse treatment, our welcoming Admissions team is standing by, so please reach out now!